Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Soon Park, MD

Individual provider Anesthesiology Physician · NPI 1104819135

Soon Park, MD is an Anesthesiology Physician in Fort Thomas, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone: (513) 672-3309
Fax: (513) 672-3323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 18823 (KY)

Record details

NPI number1104819135
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESJuly 13, 2026
Mailing address11490 Springfield Pike, Cincinnati, OH 45246-3524

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